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NPI Code Detail

MEDICARE: DR. LESLIE BARRI OPPLEMAN MD

MEDICARE: DR. LESLIE BARRI OPPLEMAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician0101028559VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1005655OTHERANTHEM BCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558343665
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LESLIE BARRI OPPLEMAN MD
Provider Business Mailing Address
First Line : 3241 WESTERN BRANCH BLVD
Second Line :
City : CHESAPEAKE
State : VA
Zip : 23321-5260
Country : US
Telephone Number : 757-686-3508
Fax Number : 757-686-0541
Provider Business Practice Location Address
First Line : 2203 E LITTLE CREEK RD
Second Line :
City : NORFOLK
State : VA
Zip : 23518-4205
Country : US
Telephone Number : 757-583-2181
Fax Number : 757-480-6482
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2005
Last Update Date : 04/12/2010

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